TERESA PETERSEN MENDOZA (NPI# 1487900122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487900122 |
Entity Type | Individual |
Full Name | TERESA PETERSEN MENDOZA |
Credential | MS, LMFT |
Practice Address |
918 Glacial Falls Dr Gilberts IL 60136-7709 |
Practice Telephone | 6307109659 |
Practice Fax Number | 8476280667 |
Mailing Telephone | 6307109659 |
Mailing Fax Number | 8476280667 |
Enumeration Date | 2012-07-31 |
Last Update Date | 2017-01-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 166.000874 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285141499 | Teresa Mendoza | Speech-Language Pathologist | 1588 Hillsdale Ave, San Jose, CA 95118-1040 | 2018-01-09 |
1306204045 | Teresa Mendoza | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-02-09 |
1881089647 | Teresa Dejesus Mendoza | Counselor | 425 Vernon St, Oakland, CA 94610 | 2015-03-30 |
1437456910 | Teresa Marie Mendoza | Marriage & Family Therapist | 629 N Main St, Suite C-3, Corona, CA 92880-1409 | 2011-02-18 |
1336216191 | Teresa S Mendoza | Nurse Practitioner | 9353 Imperial Hwy, Downey, CA 90242-2812 | 2006-11-29 |
1669438651 | Teresa M Mendoza | Pediatrics | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2006-04-26 |
Street Address |
918 GLACIAL FALLS DR |
City | GILBERTS |
State | IL |
Zip Code | 60136-7709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912482175 | Abel Care Services Dba In Home Personal Services | In Home Supportive Care | 65 West End Dr, Gilberts, IL 60136 | 2018-10-03 |
1669558706 | Rutland Dundee Fire Protection District | Ambulance | 11 E Higgins Rd, Gilberts, IL 60136-0203 | 2006-10-31 |
1053556910 | Sylvia Pomazak | Dietitian, Registered | 579 Telluride Dr, Gilberts, IL 60136-4020 | 2008-12-07 |
1992713705 | Village Therapy Services, Inc. | Speech-Language Pathologist | 100 Summit Dr, Gilberts, IL 60136-4037 | 2006-08-04 |
1487772828 | Kathie Jane Wachholder | Speech-Language Pathologist | 100 Summit Dr, Gilberts, IL 60136-4037 | 2007-03-26 |
1508118340 | Karyn E Oulicky | Pharmacist | 190 Gregory M Sears Dr, Gilberts, IL 60136-4038 | 2012-10-03 |
1265052856 | Kirstin Marie Latimer | Physician Assistant | 66 Brentwood Dr, Gilberts, IL 60136-4046 | 2020-04-23 |
1821222779 | Julie Therese Boettcher | Speech-Language Pathologist | 254 Evergreen Cir, Gilberts, IL 60136-4049 | 2009-05-06 |
1235253998 | Karen L Cheslow | Occupational Therapist | 394 Evergreen Cir, Gilberts, IL 60136-4050 | 2007-03-19 |
1992243653 | Marissa Nicole Wilson | Social Worker | 340 Gregory M Sears Dr, Gilberts, IL 60136-4051 | 2017-02-02 |
Find all providers in zip 60136 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
1124627005 | Sparkle L Nicks | Marriage & Family Therapist | 10508 Churchill Dr, Peoria, IL 61615-1178 | 2020-10-21 |
1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
1770199861 | Hana Yoo | Marriage & Family Therapist | 201 E Ogden Ave Ste 217, Hinsdale, IL 60521-3612 | 2020-09-23 |
1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
1467065672 | Life Balance Counseling Peoria, Pllc | Marriage & Family Therapist | 8305 N Allen Rd Ste 6, Peoria, IL 61615-1816 | 2020-08-26 |
1700497559 | Elisabeth Sanders | Marriage & Family Therapist | 302 W Green St, Bensenville, IL 60106-2410 | 2020-08-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.